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General NPI Number Information
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NPI Number | 1336400373
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Entity Type | Individual
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Provider Name | LAURA M MARRERO MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 7001 PROSPECT PL NE STE 100
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4315
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Country | US
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Telephone | 505-823-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 PROSPECT PL NE, STE. 100
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City | ALBUQUERQUE
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State | NM
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Zip | 87109
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Country | US
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Telephone | 505-823-4530
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0145831
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License Number State | NM
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